{"id":"https://openalex.org/W2107219211","doi":"https://doi.org/10.1176/appi.ps.201200451","title":"Stepped Care: An Alternative to Routine Extended Treatment for Patients With Borderline Personality Disorder","display_name":"Stepped Care: An Alternative to Routine Extended Treatment for Patients With Borderline Personality Disorder","publication_year":2013,"publication_date":"2013-08-15","ids":{"openalex":"https://openalex.org/W2107219211","doi":"https://doi.org/10.1176/appi.ps.201200451","mag":"2107219211","pmid":"https://pubmed.ncbi.nlm.nih.gov/23945913"},"language":"en","primary_location":{"id":"doi:10.1176/appi.ps.201200451","doi":"https://doi.org/10.1176/appi.ps.201200451","is_oa":false,"landing_page_url":"https://doi.org/10.1176/appi.ps.201200451","pdf_url":null,"source":{"id":"https://openalex.org/S171176648","display_name":"Psychiatric Services","issn_l":"0022-1597","issn":["0022-1597","1075-2730","1557-9700"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316602","host_organization_name":"American Psychiatric Association","host_organization_lineage":["https://openalex.org/P4310316602"],"host_organization_lineage_names":["American Psychiatric Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychiatric Services","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5022345281","display_name":"Joel Paris","orcid":"https://orcid.org/0000-0002-3227-8440","observed_orcids":["https://orcid.org/0000-0002-3227-8440"]},"institutions":[{"id":"https://openalex.org/I2801824472","display_name":"Jewish General Hospital","ror":"https://ror.org/056jjra10","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2801824472","https://openalex.org/I2801902503","https://openalex.org/I4210139015","https://openalex.org/I4405256057","https://openalex.org/I4405279980"]},{"id":"https://openalex.org/I5023651","display_name":"McGill University","ror":"https://ror.org/01pxwe438","country_code":"CA","type":"education","lineage":["https://openalex.org/I5023651"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Joel Paris","raw_affiliation_strings":["Dr. Paris is affiliated with the Institute of Community and Family Psychiatry, Jewish General Hospital, and the Department of Psychiatry, McGill University, 4333 cote Ste. Catherine, Montreal, Quebec H3T1E4, Canada (e-mail: )"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dr. Paris is affiliated with the Institute of Community and Family Psychiatry, Jewish General Hospital, and the Department of Psychiatry, McGill University, 4333 cote Ste. Catherine, Montreal, Quebec H3T1E4, Canada (e-mail: )","institution_ids":["https://openalex.org/I2801824472","https://openalex.org/I5023651"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5022345281"],"corresponding_institution_ids":["https://openalex.org/I2801824472","https://openalex.org/I5023651"],"apc_list":null,"apc_paid":null,"fwci":2.5935,"has_fulltext":false,"cited_by_count":76,"citation_normalized_percentile":{"value":0.88776855,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"64","issue":"10","first_page":"1035","last_page":"1037"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11093","display_name":"Personality Disorders and Psychopathology","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11093","display_name":"Personality Disorders and Psychopathology","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10214","display_name":"Psychotherapy Techniques and Applications","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/stepped-care","display_name":"stepped care","score":0.7860000133514404},{"id":"https://openalex.org/keywords/borderline-personality-disorder","display_name":"borderline personality disorder","score":1.0},{"id":"https://openalex.org/keywords/extended-treatment","display_name":"extended treatment","score":0.7080000042915344},{"id":"https://openalex.org/keywords/long-term-psychotherapy","display_name":"long-term psychotherapy","score":0.8149999976158142},{"id":"https://openalex.org/keywords/brief-intervention","display_name":"brief intervention","score":0.777999997138977},{"id":"https://openalex.org/keywords/treatment-access","display_name":"treatment access","score":0.6420000195503235},{"id":"https://openalex.org/keywords/waiting-lists","display_name":"waiting lists","score":0.8790000081062317},{"id":"https://openalex.org/keywords/resource-allocation","display_name":"resource allocation","score":0.7020000219345093}],"concepts":[{"id":"https://openalex.org/C2780600973","wikidata":"https://www.wikidata.org/wiki/Q2712836","display_name":"Borderline personality disorder","level":2,"score":0.8865954279899597},{"id":"https://openalex.org/C187288502","wikidata":"https://www.wikidata.org/wiki/Q641118","display_name":"Personality","level":2,"score":0.6412259936332703},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6179968118667603},{"id":"https://openalex.org/C2777308609","wikidata":"https://www.wikidata.org/wiki/Q270673","display_name":"Personality disorders","level":3,"score":0.5519336462020874},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.43471601605415344},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4294431805610657},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.412864625453949},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3991157114505768},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3974025249481201},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.053767114877700806}],"mesh":[{"descriptor_ui":"D001883","descriptor_name":"Borderline Personality Disorder","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D001883","descriptor_name":"Borderline Personality Disorder","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D011613","descriptor_name":"Psychotherapy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D011614","descriptor_name":"Psychotherapy, Brief","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1176/appi.ps.201200451","doi":"https://doi.org/10.1176/appi.ps.201200451","is_oa":false,"landing_page_url":"https://doi.org/10.1176/appi.ps.201200451","pdf_url":null,"source":{"id":"https://openalex.org/S171176648","display_name":"Psychiatric Services","issn_l":"0022-1597","issn":["0022-1597","1075-2730","1557-9700"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316602","host_organization_name":"American Psychiatric Association","host_organization_lineage":["https://openalex.org/P4310316602"],"host_organization_lineage_names":["American Psychiatric Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychiatric Services","raw_type":"journal-article"},{"id":"pmid:23945913","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23945913","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychiatric services (Washington, D.C.)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320320717","display_name":"Department of Biotechnology, Ministry of Science and Technology, India","ror":"https://ror.org/03tjsyq23"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W76136046","https://openalex.org/W565331994","https://openalex.org/W1986974888","https://openalex.org/W1992773668","https://openalex.org/W2002571950","https://openalex.org/W2015399965","https://openalex.org/W2020847309","https://openalex.org/W2026953083","https://openalex.org/W2034834045","https://openalex.org/W2044225822","https://openalex.org/W2044773414","https://openalex.org/W2046331648","https://openalex.org/W2056497980","https://openalex.org/W2070835554","https://openalex.org/W2107582521","https://openalex.org/W2116302039","https://openalex.org/W2117646721","https://openalex.org/W2126038180","https://openalex.org/W2126837733","https://openalex.org/W2127089902","https://openalex.org/W2138521058","https://openalex.org/W2416572275","https://openalex.org/W3041956011"],"related_works":["https://openalex.org/W2802409239","https://openalex.org/W2913051642","https://openalex.org/W7034232139","https://openalex.org/W3199756856","https://openalex.org/W6902042999","https://openalex.org/W2467401967","https://openalex.org/W2894465121","https://openalex.org/W3008726245","https://openalex.org/W2987212730","https://openalex.org/W3166508667"],"abstract_inverted_index":{"This":[0],"review":[1],"examined":[2],"evidence":[3,44],"supporting":[4],"stepped":[5],"care":[6,95],"for":[7,54,64,143],"borderline":[8,25,55,114],"personality":[9,26,56,115],"disorder":[10,27,116],"as":[11],"an":[12],"alternative":[13],"to":[14,51,72,79,82,99,131],"routine":[15,69],"extended":[16],"treatment.":[17],"Empirical":[18],"studies":[19],"have":[20,28],"shown":[21],"that":[22,45],"patients":[23,112],"with":[24,113,127,134],"a":[29,89,122],"heterogeneous":[30],"course,":[31],"but":[32,121],"symptomatic":[33],"improvement":[34],"can":[35,96,117],"sometimes":[36],"be":[37,62,97,118,132],"relatively":[38],"rapid.":[39],"Currently,":[40],"there":[41],"is":[42,49],"no":[43],"any":[46],"long-term":[47],"treatment":[48,145,150],"superior":[50],"briefer":[52],"interventions":[53],"disorder.":[57],"Long-term":[58],"therapy":[59],"may":[60],"not":[61],"necessary":[63],"all":[65,111],"patients,":[66],"and":[67,106,141],"its":[68],"use":[70,91,102],"leads":[71],"access":[73],"problems.":[74],"A":[75],"stepped-care":[76,123],"model,":[77],"similar":[78],"models":[80],"applied":[81],"other":[83],"severe":[84,129],"mental":[85],"disorders,":[86],"might":[87],"provide":[88],"better":[90],"of":[92,103,146],"resources.":[93],"Stepped":[94],"used":[98],"limit":[100],"the":[101,144,151],"expensive":[104],"programs":[105],"reduce":[107],"waiting":[108],"lists.":[109],"Not":[110],"treated":[119],"briefly,":[120],"model":[124],"allows":[125],"those":[126,147],"less":[128],"symptoms":[130],"managed":[133],"fewer":[135],"resources,":[136],"freeing":[137],"up":[138],"more":[139],"time":[140],"personnel":[142],"who":[148],"need":[149],"most.":[152]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":10},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":8},{"year":2020,"cited_by_count":11},{"year":2019,"cited_by_count":7},{"year":2018,"cited_by_count":8},{"year":2017,"cited_by_count":6},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}